Prior Auth Required

0426T - stimulation lead only

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicestimulation lead only
Procedure / Service Description

Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using - 0425U analysis, each comparator genome (eg, parents, siblings) Insertion or replacement of neurostimulator system for treatment of central sleep apnea; 0426T stimulation lead only Genome (eg, unexplained constitutional or heritable disorder or syndrome), ultra-rapid 0426U sequence analysis

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.